Equipes de Saúde da Família Ribeirinha e Fluvial nos atos normativos do Ministério da Saúde – Brasil

Edinilza Ribeiro dos Santos; Cláudia Moura Santiago; Vivian Esni Voltolini Fernandes; Zanandrea Bianca Sena Mota; Giane Zupellari dos Santos-Melo; Maria de Nazaré de Souza Ribeiro; Amélia Nunes Sicsú; Denise Maria Guerreiro Vieira da Silva

doi:10.34019/1809-8363.2025.v28.44071

Authors

Edinilza Ribeiro dos Santos State University of Amazonas (UEA) https://orcid.org/0000-0002-3188-0114
Cláudia Moura Santiago Estácio University of Amazonas (ESTÁCIO AMAZONAS) https://orcid.org/0000-0002-8811-7777
Vivian Esni Voltolini Fernandes State University of Amazonas (UEA) https://orcid.org/0000-0001-7694-2174
Zanandrea Bianca Sena Mota National Institute of Social and Human Development (INDSH) https://orcid.org/0000-0002-5226-9672
Giane Zupellari dos Santos-Melo State University of Amazonas (UEA) https://orcid.org/0000-0003-1161-8677
Maria de Nazaré de Souza Ribeiro State University of Amazonas (UEA) https://orcid.org/0000-0002-7641-1004
Amélia Nunes Sicsú State University of Amazonas (UEA) https://orcid.org/0000-0001-5217-3710
Denise Maria Guerreiro Vieira da Silva State University of Amazonas (UEA) https://orcid.org/0000-0003-2139-083X

DOI:

https://doi.org/10.34019/1809-8363.2025.v28.44071

Keywords:

Primary Health Care, Family Health Strategy, Interdisciplinary Health Team, Universal Access to Health Services, Health of Specific Groups

Abstract

The aim was to identify the central topics of the regulatory acts referring to Riverine Family Health and Riverine Family Health teams and Riverine Basic Health Units. This is a documentary study carried out in three stages: 1) search of regulatory acts of the Brazilian Ministry of Health and the National Council of Municipal Health Departments; 2) thematic categorical analysis; 3) interpretation/reflection. A total of 108 ordinances were accessed, and most of them were directed at Riverine Basic Health Units. The number of ordinances increased over the period. The analysis is divided into two categories: “From invisibility to visibility of riverine populations”; and “Proposals for Riverine Family Health and Riverine Family Health teams and Riverine Basic Health Units”. The regulatory content addressed team composition, work arrangements, and financing, and aimed to accredit and qualify municipalities to receive financial incentives, change team types, establish criteria for registration in information systems, and suspend financial incentives. The conclusion is that the 2011 Brazilian National Primary Care Policy constituted a timeframe for visibility and the possibility of guaranteeing access to the right to health for riverside populations. The discontinuity of financial transfers proves to be an obstacle that must be overcome.

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Author Biographies

Edinilza Ribeiro dos Santos, State University of Amazonas (UEA)

Graduated in Nursing from the University of São Paulo (USP), holds a master's degree in Public Health from the Catholic University of Santos (UNISANTOS), and a doctorate in Preventive Medicine from the University of São Paulo (USP). She is an Adjunct Professor at the State University of Amazonas (UEA). CV: http://lattes.cnpq.br/1444498067613214

Cláudia Moura Santiago, Estácio University of Amazonas (ESTÁCIO AMAZONAS)

Graduated in Nursing from the Materdei Higher Education Institute (IES) and holds a Master's degree in Public Health Nursing from the State University of Amazonas (UEA). Professor at Estácio do Amazonas Faculty (ESTÁCIO AMAZONAS). CV: http://lattes.cnpq.br/6699154935598702

Vivian Esni Voltolini Fernandes, State University of Amazonas (UEA)

Graduated in Nursing from the University Center of Votuporanga (UNIFEV). CV: http://lattes.cnpq.br/6526723430627467

Zanandrea Bianca Sena Mota, National Institute of Social and Human Development (INDSH)

Graduated in Nursing from the Federal University of Amazonas (UFAM) and holds a Master's degree in Public Health Nursing from the State University of Amazonas (UEA). Nurse at the National Institute for Social and Human Development (INDSH). CV: http://lattes.cnpq.br/4278671568233611

Giane Zupellari dos Santos-Melo, State University of Amazonas (UEA)

Graduated in Nursing from the State Faculty of Education, Sciences and Letters of Paranavaí (FAFIPA), holds a master's degree in Tropical Pathology from the Federal University of Amazonas (UFAM) and a doctorate in Nursing from the Federal University of Santa Catarina (UFSC). Adjunct Professor at the State University of Amazonas (UEA). CV: http://lattes.cnpq.br/7048020974666865

Maria de Nazaré de Souza Ribeiro, State University of Amazonas (UEA)

Holds a degree in Nursing and a master's degree in Food Science from the Federal University of Amazonas (UFAM); a doctorate in Human Geography from the University of São Paulo (USP); and completed postdoctoral studies at the Federal Fluminense University (UFF). Associate Professor at the State University of Amazonas (UEA). CV: http://lattes.cnpq.br/2548588402135708

Amélia Nunes Sicsú, State University of Amazonas (UEA)

Graduated in Nursing and Higher Education from the State University of Amazonas (UEA), Master's in Health Sciences from the Federal University of Amazonas (UFAM), and PhD in Public Health from the University of São Paulo (USP). Adjunct Professor at the State University of Amazonas (UEA). CV: http://lattes.cnpq.br/9318836166239188

Denise Maria Guerreiro Vieira da Silva, State University of Amazonas (UEA)

Graduated in Nursing from the Federal University of the State of Rio de Janeiro (UNIRIO), with a master's and doctorate in Nursing from the Federal University of Santa Catarina (UFSC); and completed postdoctoral studies at the Faculty of Nursing, University of Alberta (NURSING), Canada. Visiting Professor at the State University of Amazonas (UEA). CV: http://lattes.cnpq.br/3119871825560752